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General NPI Number Information
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NPI Number | 1669879268
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Entity Type | Organization
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Legal Business Name | SWEETHEARTS CARE CENTER, PLLC
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 5610 N 6TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-2734
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Country | US
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Telephone | 956-527-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 5610 N 6TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-2734
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Country | US
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Telephone | 956-527-9735
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC CARDIOLOGIST
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Name | DR. HASAN MOHAMMED NOUBANI
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Credential | MD
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Telephone | 956-537-9735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | L7078
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License Number State | TX
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